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1043903107
NOLAN WALLACE
PAPILLION, NE
NPI
1043903107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 4484)
Enumeration Date
2023-06-02
Last Update Date
2023-06-02
Business Address
NOLAN WALLACE
114 E 1ST ST STE 105
PAPILLION, NE 68046-2407
Phone number: 402-933-2010
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Mailing Address
NOLAN WALLACE
114 E 1ST ST STE 105
PAPILLION, NE 68046-2407
Phone number: 402-933-2010
Copy
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